HomeMy WebLinkAbout2226 Dolan St - Permits - 04/22/2004Community Planning &Environmental Services BUILDING P E RM I TPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
wilding valuation
Fort Collins, CO 80522-0580
$1,000.00
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0402343
ACCOUNT
FEE
DATE PAID
SITE ADDRESS 2226 DOLAN ST
PERMIT DATE
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PERMITTYPE
SPKLR-R Residential Sprinkler System
PERMIT LEVEL L. ISSU_FU
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CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
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Address
City/State
Wp No. of Stories
Building Height
3
0
O
Zip Phone
No.
Building Square Footage Stock Plan/Options
0
Front Setback Rear
Setback
0
Z_
Right Side Setback Left
Side Setback
• ••
Z
• •
(See reverse side for Inspection Description)
Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
SP K
a
wLot
J
Block Lot Area 0 Parcel No.
Connga{/ny Name (� Contractor License No. r�
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Address City/State
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uIILL'r`l00u VILLAGE, r UU111
Z
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Pho Supervisor Cert. No.
0v 41'06 50010
V
Electrical License No.
jX
Mechanical
License No.
Roofing
License No.
H
Z
Framing
License No.
0
Plumbing
License No.
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ALr MEC'tinNICAL
MP 438
Concrete
License No.
SPRINKLER SYSTEM TO BE INSTALLED BY LANDESCAPES DESIGN & CONSTRUCTION, INC. PO BOX
272610 FORT COLLINS. CO 80527-2610 970-226-4475 FCLWD
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PROVIDE REQUIRED BACKFLOW PREVENTER AND BACKFLOW TEST RESULTS
As
K condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described
herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event
that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
TOTAL FEES
$15.0
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